Thursday, March 6, 2008

Chronic enteritis with which diseases should be differentiat

(1) primary intestinal malabsorption syndrome : the typical symptoms of the disease to fat diarrhea. Defecation a lighter hair color, quantity, or is oil-bubble-like, often floating on the surface of an evil smell. More with abdominal bloating, abdominal pain, weakness, weight loss, bleeding malnutrition performance, long duration of illness, the condition when the light at the weight, do X-ray barium meal examination favorable diagnosis. (2) intestinal tuberculosis : slow onset, located in the right lower abdomen, have paroxysmal colic, borborygmi strengthened, often change in bowel, dry, thin alternating. Light were only loose stool, severe sepsis will of mucus. Have nausea, vomiting, abdominal distension, anorexia. Medical examination only right lower quadrant tenderness. Supplementary examination : ESR increase, colon bacteria test positive stool culture can be found in acid-fast bacilli. Give fiber colonoscopy to confirm the disease. (3) Crohn's disease : a chronic idiopathic inflammatory bowel disease, the slow onset, the emaciated, torpid intake. malaise performance. Periomphalic enterocelia or abdominal pain in the right lower abdomen. Diarrhea and early intermittent later became persistent. Three-day trip six times, then soft or semi-liquid. Right lower quadrant tenderness, touching mass. Late show weight loss, anemia, intestinal absorption and electrolyte disturbance performance. Mesenteric angiography or endoscopy and biopsy, diagnosis can be made. (4) idiopathic ulcerative colitis : the disease is unknown, and the immune-related chronic diseases, most of the main ulcer, involved conjunctival mucosa, was mostly to young adults. Abdominal pain often left lower abdomen or total abdominal tenderness Obviously, borborygmi with hyperthyroidism. Have anorexia, weight loss and malnutrition, and other symptoms. Flexible Sigmoidoscopy and viable for the benefit of biopsy diagnosis. (5) gastrointestinal neurosis : the disease is a neurological disorder High induced gastrointestinal dysfunction. Slow onset, the clinical manifestations of gastrointestinal symptoms, performance beching was nervous, anorexia, vomiting, diarrhea spirit, irritable colon syndrome, splenic flexure syndrome.

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